NPIMap

Organization Active NPI

Synergy Ministries, Inc.

  • Professional Counselor
  • Fort Payne, AL
National Provider Identifier
1942631817
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SYNERGY MINISTRIES, INC.
Practice address
701B Gault Ave N
Fort Payne, AL 35967-2627
Phone
(256) 979-1620
Fax
(205) 263-6462
NPI assigned
Dec 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Don G. Brock, DMIN, LPCNPI 1942688601
Title
President
Phone
(256) 979-1620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

701B Gault Ave N
Fort Payne, AL 35967-2627

Mailing address

701B Gault Ave N
Fort Payne, AL 35967-2627
Phone (256) 979-1620

Other practice location 1

7734 Madison Blvd Ste 122
Huntsville, AL 35806-2385
Phone (256) 716-8279

Other names 1

  • Synergy Counseling Center Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@SynergyCounselingCenter.net Direct

National Provider Directory

National Provider Directory

Locations

701 Gault Ave N
#B
Fort Payne, AL 35967
Phone (256) 979-1620

7734 Madison Blvd
Ste 122
Huntsville, AL 35806
Phone (256) 656-3056

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1942631817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701B GAULT AVE N",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359672627",
            "telephone_number": "256-979-1620",
            "fax_number": "205-263-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701B GAULT AVE N",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359672627",
            "telephone_number": "256-979-1620",
            "fax_number": "205-263-6462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7734 Madison Blvd Ste 122",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358062385",
            "country_code": "US",
            "telephone_number": "256-716-8279",
            "fax_number": "205-263-6462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYNERGY MINISTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-979-1620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMIN, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@SynergyCounselingCenter.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "701B Gault Ave N",
            "city": "Fort Payne",
            "state": "AL",
            "country_code": "US",
            "postal_code": "359672627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Synergy Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Synergy Counseling Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Payne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.